Active NPI
Fred Oden Jr.
- Counselor
- Washington, DC
National Provider Identifier
1205560240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- NONE
- Practice address
- 5201 Hayes St NE Apt 327
Washington, DC 20019-5572 - Phone
- (202) 200-1717
- NPI assigned
- Jul 14, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NONE | DC | Primary |
Addresses
Primary practice location
5201 Hayes St NE Apt 327
Washington, DC 20019-5572
Mailing address
1460 Bangor St SE Apt 101
Washington, DC 20020-4967
Phone (202) 200-1717
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | folder | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NONE | DC | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657756800000",
"number": "1205560240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1460 BANGOR ST SE APT 101",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200204967",
"telephone_number": "202-200-1717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 HAYES ST NE APT 327",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200195572",
"telephone_number": "202-200-1717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODEN",
"first_name": "FRED",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-14",
"last_updated": "2022-07-14",
"certification_date": "2022-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "DC",
"license": "NONE",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "folder",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5201 Hayes St NE Apt 327",
"city": "Washington",
"state": "DC",
"country_code": "US",
"postal_code": "200195572",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.